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HomeMy WebLinkAboutPermit Plumbing 2000-7-10 -," .. . I Job# 00-01066-01 I . Page 1 of 2 TRANS#:01-0002498 DATE:JUL 10 2000 AMT RECD:1 $ 50.00 I CHANGE:$ 22.50 CASHIER: 061 CITY OF SPRINGFIELD, OREGON 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01066-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3915 Richland St Spr Assessors Map#: 18020641 Lot: Block: Addition: Owner: Barbara Harris 3915 Richland St Address: Scope Of Work: Plumbing replace water line Contractor Type Plumbing C.ontr Tax Lot #: 06200 Subdivision: Phone Number: 541-746-6776 City/State/Zip: Springfield, OR 97477 New Value: $0 Contractor A & P Plumbing Po Box 22753, Eugene, OR 97402 Phone 541-463-8007 Registration # Expiration Date 136326 8/10/2001 Office Use Quad Area: Land Use: # Of Buildings: # Of Units: Zoning Code: Occupancy Group: Constr. Type: Bedrooms: Heat Source: Water Heater: Range: Sq. Footage: '...._\"1::. "I~"''' ''-IV I ...-. )(PIRElr 111~..CI"r, To request an inspection call the 24 hour recording at 726-3769. All in,!!~Jl!iQ.I;\!hteQu~$tk~l&e(sl~eJ.f.W,V\\iISNOl' a.m. will be made the same working day, inspections requested after 7:00 a.~[ig19~roaaiiliRe\followm8 FOR working day. AU~~ENCEDORISABANDONE R . d I t' CO -_.~~ equlre nspec Ions NY 180UAY no' ,,~- I Plumbinll f Water Line - Prior to filling trench. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) I Main: Accessory: Fee Minimum Plumbing Permit Fee .. .:f...~UI'tJ. jVI,;,', .. "',...' - n ("I0~ Utili!, .: ,\ 1,_"._ - " l- ~'(ln Jr~ I' .,1_ dn....1Pf'fl\1\ ~ '. ':{-l", ",.n .."l.....~ ':'! v" ..j< - , # Of Stories: tHelglit(feet):. ' , '.-ut:' . 't' .'t, . fd .'. , ~;, ' J - . CurrentUmts:'Proposed Umts: -. ,. 1,I'S':: ..\};-:.,- . -. ...,...,-. ...'1....fO CensusCode:DoesnotapPIYoall ~I'l ..,., : ," h ' , ,."u,:€: " .. . ,'\' atlor I C,\\''f'' IL~" , \ I ,'i'I', ,\.'O:i Ie U" . ') '~n~ " Total'. ,-bei IOf tP",.. .. ...... r..~!.A' "I' 'II . , ",,' .... -, -~ -'.' Paid On Receipt# Plumbinll 07/10/2000 2498 Value/Quantity Fee Amount $.00 - . Job# 00-01066-01 . Page 2 of2 Fee Paid On Receipt# Plumbin!! 07/10/2000 2498 07/10/2000 2498 07/10/2000 2498 Value/Quantity I Fee Amount State Surcharge For Plumbing Permit Water Service Footage Plumbing Administrative Fee Total Plumbing Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify 1hat all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with OR 5 will be used n this project. I further agree to ensure that all required inspections are r uested he prope . e and th~.t thl> QfOject address is readable from the street. 18 $1.75 $25.00 $.75 $27.50 $27.50 -;;?-/ tJ.... 87 Date